Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Facility		$29.91	$29.91	$29.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $30.21 / $37.99	Professional		$29.91	$30.21	$37.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.09 / $242.51 / $406.27	Facility		$101.09	$242.51	$406.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Facility		$29.91	$29.91	$29.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Professional		$29.91	$29.91	$29.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $30.59 / $60.00	Professional		$21.41	$30.59	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $29.91 / $32.90	Facility		$29.91	$29.91	$32.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $38.24	Professional		$29.91	$29.91	$38.24
United Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Professional		$29.91	$29.91	$29.91